[Principles of the treatment of patients with combined injuries and multiple fractures]

Based on an experience with 597 patients the authors have formulated main principles of treatment of poly-traumas. Nine groups of patients were established depending on the severity of polytrauma. In 42.6% of patients with polytrauma urgent surgical procedures were necessary. Operations on bones in the early period were justified but for saving the patient's life as a component of antishock measures. It should be performed rapidly, atraumatically and without blood loss. The application of apparatuses of external fixation on the basis of wires is thought to be expedient at this period.